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Table 3 Models predicting clinicians’ maximum and average CBT adherence per session

From: Linking organizational climate for evidence-based practice implementation to observed clinician behavior in patient encounters: a lagged analysis

 

T2—maximum CBT adherence per session (N = 108)

T2—average CBT adherence per session (N = 103)

Predictor

B

SE

p

B

SE

p

Agency level (T1)

 EBP implementation climate (1 SD)

0.63

0.11

0.000

0.23

0.05

0.000

 Molar climate

0.00

0.02

0.927

− 0.01

0.00

0.088

Clinician level (T2)

 Age in years

− 0.08

0.01

0.000

− 0.03

0.01

0.000

 Gender = man (ref = woman)

− 0.07

0.46

0.876

− 0.05

0.26

0.856

 Years of clinical experience

0.09

0.03

0.002

0.04

0.01

0.003

 Tenure in organization (in years)

− 0.08

0.06

0.204

− 0.04

0.03

0.145

 Full-time employee (ref = part-time)

0.51

0.22

0.021

0.17

0.11

0.102

 Strength of CBT orientation

0.31

0.10

0.003

0.15

0.05

0.003

 Participated in CBT initiative (ref = no)

− 0.33

0.37

0.374

− 0.12

0.14

0.395

Client level (T2)

 Age in years

0.00

0.04

0.983

− 0.02

0.02

0.344

 Gender = man (ref = woman)

0.38

0.35

0.283

0.19

0.18

0.279

 Comorbid diagnosis (ref = no)

0.45

0.25

0.071

0.07

0.10

0.468

 Primary diagnosis, ASD (ref = internalizing)

− 0.51

0.38

0.181

− 0.41

0.18

0.025

 Primary diagnosis, externalizing (ref = internalizing)

0.11

0.25

0.648

− 0.11

0.10

0.301

 Primary diagnosis, other (ref = internalizing)

− 0.38

0.45

0.403

− 0.33

0.22

0.143

  1. Coefficients are estimated using 3-level, linear mixed effects regression models incorporating random intercepts for agencies (N = 10) and clinicians (N = 37). Each client was observed for only a single session. Maximum CBT adherence per session represents the highest adherence achieved (1-7) on any of 12 CBT elements for the session. Average CBT adherence per session represents the average adherence achieved across all elements scored > 1 for the session. The EBP implementation climate variable was standardized for analysis
  2. ASD Autism spectrum disorder, CBT Cognitive behavioral therapy, EBP Evidence-based practice, SD Standard deviation